Provider First Line Business Practice Location Address:
3714 STATE ST # C-1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-3104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-565-9837
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/13/2025